Individual provider · Type 1 NPI

Irma F. Bustamante

Addiction (Substance Use Disorder) Counselor · Pacoima, CA

NPI number 1114457983 Active

Practice location

11643 Glenoaks Blvd.
Pacoima, CA 91331

Call (818) 897-2609 Map

Fax (818) 890-7159

Mailing address

4760 S. Sepulveda Blvd.
Culver City, CA 90230

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1114457983

Irma F. Bustamante's National Provider Identifier is 1114457983, issued on Jun 14, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Pacoima, CA. The record was last updated on Jun 14, 2017.